<%@ page import="com.webamc.common.enums.Fields" %>
<%@ page import="com.webamc.common.enums.Params" %>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>

<table class="browse-table">
    <tr>
        <td>Full Name</td>
        <td>
            <input name="<%=Fields.FULLNAME%>" size="20">
        </td>
    </tr>
    <tr>
        <td>Birth date</td>
        <td>
            <input name="<%=Fields.DOB%>" title="DD/MM/YYYY" size="20" onclick="initCal(this)"/>
        </td>
    </tr>
    <tr>
        <td>Gender</td>
        <td>
            <% request.setAttribute(Params.KEY, Fields.GENDER); %>
            <jsp:include page="combo-util.jsp"/>
        </td>
    </tr>
    <tr>
        <td>E-Mails</td>
        <td>
            <input name="<%=Fields.EMAIL%>" size="20">
        </td>
    </tr>
    <tr>
        <td>Contact</td>
        <td>
            <input name="<%=Fields.CONTACT%>" size="20">
        </td>
    </tr>
    <tr>
        <td>Mobile</td>
        <td>
            <input name="<%=Fields.MOBILE%>" size="20">
        </td>
    </tr>
    <tr>
        <td>Description</td>
        <td>
            <textarea rows="2" cols="20" name="<%=Fields.DESC%>"></textarea>
        </td>
    </tr>
    <tr>
        <td>Address</td>
        <td>
            <textarea rows="2" cols="20" name="<%=Fields.ADDRESS%>"></textarea>
        </td>
    </tr>
    <tr>
        <td>City</td>
        <td>
            <% request.setAttribute(Params.KEY, Fields.CITY); %>
            <jsp:include page="combo-util.jsp"/>
        </td>
    </tr>
    <tr>
        <td>State</td>
        <td>
            <% request.setAttribute(Params.KEY, Fields.STATE); %>
            <jsp:include page="combo-util.jsp"/>
        </td>
    </tr>
</table>
